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There are substance abuse programs offered in or near Mayo that cater to both methadone and buprenorphine clients only, controlled medications that are dispensed in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors which make a person feel high from morphine or heroin are activated by these two drugs so that an opioid dependent client will ideally not engage in drug seeking behavior and won't experience withdrawal symptoms. There are dangers with side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are highly regulated and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients take these medications daily so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't also making them feel euphoria. Euphoria can be experienced at at higher dosages, more significantly with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the main treatment goal is to treat the withdrawal symptoms and put an end to the illicit drug use. Some centers do offer a small amount of counseling and group therapy as auxiliary treatment, and it is recommended and encouraged.
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